Senior Paralegal

at  Amentum

The Claim Review Assessor’s responsibilities include:

• Pre-screen: Responsible for “pre-screening” claims at the eligibility, compensation, and amendment stages. This includes deactivating claims and dispositioning amendments as needed, and identifying and entering appropriate missing information requests and placing claims on feeds.
• Feed management: Responsible for compiling presence and compensation feed requests, and manages special feed requests by review team.
• Claim Preparation: Populates claim review worksheets and claim summary templates, including incorporating data from the initial checks completed in pre-screen.
• Administrative Checks: Performs administrative checks prior to peer review or production of the claim to a decision maker in conjunction with the claim reviewer.
• Special Projects: Works on special projects as assigned, focusing on claim review and coordination. Examples include tracking appeals in conjunction with the hearings team, assisting in the tracking of NIOSH disability evaluation requests, coordinating with NIOSH on private physician verifications, tracking of Congressional interest or other claims with unique circumstances, and other projects as needed.

QUALIFICATIONS:

• Must be able to obtain and maintain MRPT facility credentials/authorization. Note: US Citizenship is required for MRPT facility credentials/authorization at this work location.
• Bachelor’s degree with a minimum of 3 years’ related experience or Master’s degree; paralegal certificate preferred but relevant experience may be substituted with the approval of the Contracting Officer
• Proficient with MS Excel (intermediate user or higher), MS Access and other Microsoft Office suite products
• Strong research and auditing skills
• Experience in claim management or processing environments
• Experience in government programs or litigation support preferred

• Pre-screen: Responsible for “pre-screening” claims at the eligibility, compensation, and amendment stages. This includes deactivating claims and dispositioning amendments as needed, and identifying and entering appropriate missing information requests and placing claims on feeds.
• Feed management: Responsible for compiling presence and compensation feed requests, and manages special feed requests by review team.
• Claim Preparation: Populates claim review worksheets and claim summary templates, including incorporating data from the initial checks completed in pre-screen.
• Administrative Checks: Performs administrative checks prior to peer review or production of the claim to a decision maker in conjunction with the claim reviewer.
• Special Projects: Works on special projects as assigned, focusing on claim review and coordination. Examples include tracking appeals in conjunction with the hearings team, assisting in the tracking of NIOSH disability evaluation requests, coordinating with NIOSH on private physician verifications, tracking of Congressional interest or other claims with unique circumstances, and other projects as needed